Verification Specialist
Summary
| Title: | Verification Specialist |
|---|---|
| ID: | 2018 |
| Pafford EMS: | Hempstead County |
| Division/Department: | PMBS |
| State: | Arkansas |
Description
Job Description:
The primary responsibility of the Verification Specialist is to ensure that the patient’s insurance will cover ambulance
transportation services.
Essential Duties and Responsibilities:
Utilize various resources to locate insurance payers for ambulance transportation
Contact the hospital, patient’s family, and/or patient to obtain insurance information
Fax partner hospitals requests for information
Validate and update patient demographics in the practice management system
Responsible for the accurate entry of data into the practice management system
This position requires specialist to spend extended periods of time on the phone with insurance companies
Performing other duties as assigned.
Qualifications:
Proficient with a PC
Experience working with insurance portals
Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)
Knowledge of medical terminology
Knowledge of Medical Billing
Ability to work independently and with a group
Working knowledge of MS Word, Excel
Ability to maintain effective working relationships.
Thorough knowledge of office practices
Ability to type at least 35 words per minute.
Ability to multi-task
Proficiency using 10 key
Education and Experience Requirements:
High School Diploma or GED
Minimum of one year revenue cycle management experience
Physical Requirements:
Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other
federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local
standards.
The employee may occasionally be required to lift and/or move up to 20 pounds
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision,
depth perception, and the ability to adjust focus.
Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and
other physical exertion.
Must be able to talk, listen and speak clearly on telephone.
Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a
motor vehicle.
Travel Time: Negligible
NOTE: The above statements are intended to describe the general nature and level of work being performed by the
person assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, skills and
physical demands required of personnel so classified.
